Wiltenburg, Lori

Wiltenburg, Lori is an individual health care provider with primary practice located at 2700 Baker St Fl 3 , Muskegon MI 49444-2157. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wiltenburg, Lori can be contacted via phone (231) 733-6607.

Contact Information

Primary practice address
2700 Baker St Fl 3 Muskegon MI 49444-2157
Phone: (231) 733-6607
Fax: (231) 737-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801071407 Michigan

Profile Details

NPI number 1407982010
LBN Legal business name Wiltenburg, Lori
Credentials SW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407982010 NPPES
Michigan MEDICAID 1407982010
Michigan MEDICAID 772935256

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